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Analysis of newly detected Leprosy cases and misdiagnosis in Wuhan (1990-2004)

机译：武汉市1990-2004年新发现麻风病病例分析及误诊

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Objective: To analyse the leprosy epidemiological trends and the diagnostic delay in newly detected cases between 1990 and 2004 in Wuhan. Methods: We reviewed the clinical records of all 80 leprosy patients who were referred to the Wuhan Institute of Dermatology and Venerology (WHIDV) during 1990 and 2004, and the clinical information of diagnosis-delayed cases was analysed. Results: Patients were determined as lepromatous leprosy (LL, 24, 30%), borderline lepromatous leprosy (BL, 15, 18.75%), borderline leprosy (BB, 9, 11.25%), borderline tuberculoid leprosy (BT, 12, 15%), and tuberculoid leprosy (TT, 20, 25%), respectively. The patients were more likely to present with multibacillary (MB, 48 cases) rather than with paucibacillary (PB, 32 cases). Among the 80 newly detected patients, 53 cases (66.25%) had been misdiagnosed (51 cases in general hospitals, two cases in WHIDV), 23 cases were treated with hospitalisation in department of dermatology of general hospitals. Up to 20 kinds of dermatological conditions involved in case misdiagnosis. Conclusions: Misdiagnosis of dermatological conditions and ignorance of the disease among general practitioners and hospital dermatologists were the main causes of diagnostic delay in Wuhan, which is leading to incorrect treatment for patients suffering with a variety of damage due to leprosy.
机译：目的：分析1990年至2004年武汉市麻风病流行趋势及诊断延迟。方法：回顾性分析1990年至2004年武汉皮肤病与性病研究所（WHIDV）转诊的80例麻风病人的临床资料，并分析诊断延迟的病例的临床资料。结果：确定患者为麻风性麻风（LL，24、30％），交界性麻风性麻风（BL，15、18.75％），交界性麻风（BB，9、11.25％），交界性结核性麻风（BT，12、15％） ）和结核性麻风病（TT，20，25％）。患者更有可能出现多细菌性病变（MB，48例），而不是具有痤疮性细菌性病变（PB，32例）。在新发现的80例患者中，有53例（66.25％）被误诊（综合医院51例，WHIDV 2例），其中23例在综合医院皮肤科住院治疗。病例误诊涉及多达20种皮肤病学状况。结论：全科医生和医院皮肤科医生对皮肤病的误诊和对疾病的无知是导致武汉市诊断延误的主要原因，这导致对因麻风病造成多种损害的患者进行不正确的治疗。

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